1. Bwrdd Iechyd Prifysgol Hywel Dda University Health Board
Adroddiad Blynyddol
Annual Report
2015/16

2. Crynodeb o Gyfrifon Blynyddol Summary ofAnnual Accounts 2015/2016
Unqualified audit report
New statutory financial duties from 2014/15:
To balance income and expenditure over a three year rolling period
Not measured until the end of the first three year rolling period being 2016/17
To prepare and have approved with Health Minister a rolling three year Integrated Medium Term Plan
Not achieved – plan submitted, but not approved
Annual Governance Statement shows that we properly enacted effective financial control

3. Adnoddau sydd ar gael Resources Available
£810m
Invested in delivering and purchasing healthcare for the population of Hywel Dda University Health Board of over 384,000 people (including Depreciation & Extraordinary impairment of £15m)
£13.2m
Invested in Capital schemes designed to improve the delivery of healthcare within Hywel Dda University Health Board.

4. Lle wnaethom wario’r arian Where we spent the money
Secondary Care
4 main hospitals
Community Services
7 community hospitals
Primary Care
54 GP practices delivering Primary Care
48 Dental practices
99 Community Pharmacies
56 Optometry premises
11 Health Centres
Specialist Tertiary Services
Our Welsh Providers along the M4 Corridor – Abertawe Bro Morgannwg and Cardiff & Vale

5. Perfformiad alldro 2015/16 mewn £m 2015/16 Outturn Performance by £m
Operating Cost Statement and Achievement of Operational Financial Balance for the year ended 31 March 2016
2016 £m
2015
Expenditure on Primary Healthcare Services
Expenditure on Healthcare from other Providers
Expenditure on Hospital and Community Health Services
Total Expenditure
Less : Miscellaneous Income
51.698
53.436
LHB Net Operating Costs Before Interest and
Other Gains and Losses
Investment Income
Other (Gains) / Losses 6
Finance Costs 46 43
Net Operating Costs for the Financial Year

6. Gwariant blwyddyn ar flwyddyn Expenditure Year on Year
There was a very small increase in Primary Healthcare in 2015/16.
Healthcare from Other Providers increase in 2015/16 is due to:
Increase in costs on goods and services from Welsh Health Specialist Services Committee and Emergency Ambulance Services Committee of £3.3m
Increase in goods and services from other Welsh Health Boards of £1.9m
Increase in Local Authority expenditure of £2.4
Offset by a decrease in Private Provider costs of £1.5m
Hospital and Community Health Service increase due to:
Increase in staff costs of £20.4m
Increase in clinical supplies and services of £6.9m
Increase in establishment costs of £1.0m
Offset by a decrease in losses and special payments costs of £1.4m
Offset by a decrease in impairment costs of £6.2m

7. £810 miliwn, mewn darlun Pictorially, £810 million
Equivalent to £2,109 per person
Net of Income £1,974 per person

8. Gwasanaethau Gofal Sylfaenol £173m

9. Rhaniad Tybiannol o Wasanaethau Gofal Sylfaenol yn ôl Sir Notional Split of Primary Care Services by County

10. Gofal Iechyd gan ddarparwyr eraill £179

11. Gwasanaethau Iechyd Ysbyty a Chymunedol £457m

12. Incwm Amrywiol £52m

13. Net operating cost - £ per population
Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards
Net operating cost - £ per population

14. Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards
GMS - £ per population

15. Hospital and Community Health Services - £ per population
Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with Other Health Boards
Hospital and Community Health Services - £ per population

16. Income from other LHBs - £ per population
Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards
Income from other LHBs - £ per population

17. Goods and services from other LHBs - £ per population
Sut mae hyn yn cymharu â Byrddau Iechyd eraill How this compares with other Health Boards
Goods and services from other LHBs - £ per population

18. Gwariant Cyfalaf Capital Expenditure
The Health Board’s total capital resource allocation from Welsh Government 2015/16 was £13.238m, of which it spent £13.210m on capital schemes across the Health Board
The major schemes included:
Front of House Scheme in Bronglais General Hospital £2.594m
Preparatory work for the Cardigan Integrated Care Centre £1.415m
The Unscheduled Care scheme at Prince Philip Hospital £1.113m

19. Sut y gwnaethom wario ein harian, yn ôl cyflwr How we spent our money by Condition

20. Casgliad To sum up Unqualified audit report
One statutory duty not measured until 2016/17
To balance income and expenditure over a three year rolling period.
One statutory duty not achieved
To prepare and have approved with Health Ministers, a rolling three year Integrated Medium Term Plan.
One financial target achieved
To stay within the agreed cash drawing limit.
One financial target not achieved
Prompt payment of invoices target of 95% not achieved (86%).